Office of Financial Aid
2021 - 2022 Parent Household Verification Worksheet
Student Name: __________________________________
Student ID: ___________________
The Office of Financial Aid is required to confirm the information you reported on the FAFSA. Instructions: Write the names of the people in your parent’s household in the space(s) below. Include the name of the college they are currently attending. A parent’s household includes: •You and your parents/stepparent even if you don’t live with your parents •Your parents’ other children, if (a) Your parents will provide more than half of their support from Jul 1, 2021 through June 30, 2022 OR (b) Children would be required to provide parental information when applying for Federal Student Aid •Other people who live with your parents if your parents will provide more than half of their support from July 1, 2021 through June 30, 2022.
Full Name Missy Jones (example) 1 2 3 4 5 6 7 8 9 10
Age Relationship 14
Sibling Self
College None SUNY Erie
Enrolled at Least HalfTime No
If you need more space, please attach a separate page. Certification: By signing below, I acknowledge and confirm that the information provided is complete and correct. Purposely giving false or misleading information may result in federal fines, jail sentence, or both. Student Signature: ________________________________________________
Date: ______________________
Parent Signature: _________________________________________________
Date: ______________________
SUBMIT THIS FORM TO THE OFFICE OF FINANCIAL AID